{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T12:41:01Z","timestamp":1780663261455,"version":"3.54.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T00:00:00Z","timestamp":1660608000000},"content-version":"vor","delay-in-days":806,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>\n          Background: Clinical practice in postoperative bracing after posterior single-level lumbar spine fusion (PLF) is inconsistent between providers. This study seeks to assess the effect of bracing on short-term outcomes related to safety, quality of care, and direct costs. Methods: Retrospective cohort analyses of consecutive patients undergoing single-level PLF with or without bracing at a three-hospital urban academic medical center (2013\u20132017) were undertaken (n = 906). Patient demographics and comorbidities were analyzed. Test of independence, Mann\u2013Whitney\u2013Wilcoxon test, and logistic regression were used to assess differences in length of stay (LOS), discharge disposition\/need for postacute care, quality-adjusted life year (QALY), surgical site infection (SSI), hospital cost, total cost, readmission within 30 days, and emergency room (ER) visits within 30 days. Results: Among the study population, 863 patients were braced and 43 were not braced. No difference was seen between the two groups in short-term outcomes from surgery including LOS (P = 0.836), discharge disposition (P = 0.226), readmission (P = 1.000), ER visits (P = 0.281), SSI (P = 1.000), and QALY gain (P = 0.319). However, the braced group incurred a significantly higher direct hospital cost (median increase of 41.43%, P &lt; 0.001) compared to the unbraced cohort (bracing cost excluded). There was no difference in graft type (P = 0.145) or comorbidities (P = 0.20\u20131.00) such as obesity (P = 1.000), smoking (P = 1.000), chronic obstructive pulmonary disease (P = 1.000), hypertension (P = 0.805), coronary artery disease (P = 1.000), congestive heart failure (P = 1.000), and total number of comorbidities (P = 0.228). Conclusion: Short-term data suggest that removal of bracing from the postoperative regimen for PLF will not result in increased adverse outcomes but will reduce cost.<\/jats:p>","DOI":"10.4103\/ajns.ajns_35_20","type":"journal-article","created":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T16:06:36Z","timestamp":1591113996000},"page":"333-337","source":"Crossref","is-referenced-by-count":9,"title":["Evaluation of lumbar spine bracing as a postoperative adjunct to single-level posterior lumbar spine surgery"],"prefix":"10.1055","volume":"15","author":[{"given":"Saurabh","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Caplan","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Schuster","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Piazza","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"},{"name":"Department of Neurosurgery and Orthopedic Surgery, Translational Spine Research Lab of the University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Glauser","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Welch","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Osiemo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania"},{"name":"Department of Mathematics, West Chester Statistical Institute, West Chester University, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Mcclintock","sequence":"additional","affiliation":[{"name":"Department of Mathematics, West Chester Statistical Institute, West Chester University, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA"},{"name":"Department of Neurosurgery and Orthopedic Surgery, Translational Spine Research Lab of the University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,8,16]]},"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ajns.AJNS_35_20.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T00:06:45Z","timestamp":1660694805000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ajns.AJNS_35_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,8,16]]},"published-print":{"date-parts":[[2020,6]]}},"URL":"https:\/\/doi.org\/10.4103\/ajns.ajns_35_20","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}